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1114054780
MICHAEL LOVELL TUCKER
DETROIT, MI
NPI
1114054780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI L796117)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL LOVELL TUCKER LMSW,LPC
8411 E OUTER DR
DETROIT, MI 48213-1390
Phone number: 313-316-1456
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Mailing Address
Mr. MICHAEL LOVELL TUCKER LMSW,LPC
8411 E OUTER DR
DETROIT, MI 48213-1390
Phone number: 313-316-1456
Copy
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